Open AccessMasses of the Paranasal Sinuses After Treatment of Nasopharyngeal Carcinoma: A Case Report
Author(s) -
Maria Silvia Lazio,
Angelo Cannavicci,
Massimo Squadrelli Saraceno,
Giandomenico Maggiore
Publication year - 2018
Publication title -
indian journal of otolaryngology and head and neck surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.229
H-Index - 22
eISSN - 2231-3796
pISSN - 0973-7707
DOI - 10.1007/s12070-018-1326-3
Subject(s) - medicine , paranasal sinuses , otorhinolaryngology , nasopharyngeal carcinoma , radiation therapy , radiology , nasal cavity , biopsy , expansive , surgery , skull , compressive strength , materials science , composite material
The development of a new mass in the field of irradiation of a previously treated Nasopharyngeal carcinoma is generally considered a sign of recurrence. We report a case of a 46-year-old male, with a past history of undifferentiated NPC, with an expansive lesion discovered during radiological follow-up that occupied nasal cavity and paranasal sinuses. The endoscopic sinuses surgery was necessary in order to analyze and remove the mass with intraoperative frozen sections to highlight mucosa free from disease. The presence of non-malignant masses in the paranasal sinuses are rare complications after radiotherapy at the skull base, but represent an eventuality that must be considered in the differential diagnosis of a suspected recurrence or with a secondary malignancies after radiation therapy. It is therefore required a final diagnosis based on biopsy, follow-up and an eventual endoscopic surgical treatment.